| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.35 | $141.35 | $141.35 | |
Cigna
| Facility | $38.92 | $219.78 | $219.78 | |
Cigna
| Professional | $35.88 | $186.81 | $646.88 | |
Molina
| Professional | $150.99 | $266.27 | $422.13 | |
United
| Professional | $141.35 | $220.00 | $314.11 |